1Hamad General Hospital and Qatar Metabolic Institute, Qatar
2Qatar University, Qatar
Introduction: Dumping syndrome (DS), which is categorized into “early” or “late” based on the onset of symptoms, is a clinical impediment characterized by postprandial discomfort, including nausea, abdominal pain, diarrhea, feeling hot, dizziness, syncope, hypotension, palpitations, hypoglycemia and tremors, following bariatric-surgery. The condition is well known and with increasing number of operations as a treatment for morbid obesity the situation warrants additional attention provided by healthcare professionals. Data on incidence of DS following Laparoscopic Sleeve Gastrectomy (LSG) is scarce. The majority of studies have so far focused on DS post Gastric bypass surgery.
Objective: The purpose of this case series is to demonstrate the observation of early dumping syndrome in Qatari patients following Laparoscopic Sleeve Gastrectomy (LSG), to plan for and expand available treatment options
Results: The majority of patients had mild-moderate symptoms with only one case presenting with severe symptoms that required hospitalization (5th patient) as blood sugar was very low (36-45 mg%) with very low potassium (2-2.5 mmol). Of the five patients, the first four responded to the diet modification with two required adding Acarbose oral tablets to control their symptoms. The fifth patient with severe symptoms had to undergo more intense therapy to control the symptoms, including administration of intravenous fluids, electrolytes correction, Acarbose, Octreotide and symptomatic treatment for abdominal pain and nausea as well as the usual diet modification and nutritional supplement.
Conclusion: DS is a serious condition and patient education should focus on raising the awareness of potential complications. providers must have the knowledge and expertise to predict and deal with such ailment that may require medication for critical cases.
Sansum Diabetes Research Institute, USA
Introduction: There is a global need for individualized education for diabetes management and prevention. Dietitian consultation achieves better outcomes than primary care alone, but diet counseling for sustained change is costly. Widespreadaffordable smartphones provide scalable platforms for achieving and maintaining lifestyle changes, and mobile interventions yield high compliance and capacity for personalized programming and feedback. The primary study aimwas to determine whether the dietary recommendations from the Project Nourish application (app) were comparable to those of registered dietitians in terms of safety, practicality, nutrition, health, and calorie control.
Methods: Two dietitians analyzed dietary recommendations from the app over 4 months. 12 scoring matrices were analyzed covering a total of 1,950 dietitian assessments. The maximum score for a recommendation was 25 points—five points each for safety, practicality, nutrition, health, and calorie control. The higher the score, the closer the applicationʼs recommendation to the dietitianʼs.
Results: The overall composite score of the applicationʼs recommendations was 17.9 out of 25, scoring highest in the safety category, averaging 4.92 out of 5 points (SD ± 0.35), followed by practicality (4.00 ± 1.39), health (3.29 ± 1.09), and nutrition (3.08 ± 1.13), with calorie control receiving the lowest scores (2.65 ± 1.35).
Discussion: The appʼs recommendations averaged 72% comparability to those of dietitiansin terms of safety, practicality, health, nutrition, and calorie control. While there is room for improvement especially in terms of calorie control, this and other nutrition applications for mobile devices have exciting potential and offer a framework for evaluation.